NPI 1083214787

Michael Frederick, PHARMD

Practitioner Pharmacist Saint Charles, MO

Practice location

Address: 2855 Veterans Memorial Parkway (pharmacy), Saint Charles, MO 63303
Phone: (636) 925-1143

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 2019024409 (MO)

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Registry record

NPI: 1083214787
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Oct 2020
Record last updated: 30 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.